Department of Clinical and Experimental Biomedical Sciences, University of Florence, Florence, Italy.
Core Research Laboratory - Istituto Toscano Tumori, Florence, Italy.
Oncogene. 2018 May;37(19):2601-2614. doi: 10.1038/s41388-018-0164-9. Epub 2018 Feb 27.
Malignant melanoma is among the most aggressive cancers and its incidence is increasing worldwide. Targeted therapies and immunotherapy have improved the survival of patients with metastatic melanoma in the last few years; however, available treatments are still unsatisfactory. While the role of the BRAF-MEK1/2-ERK1/2 pathway in melanoma is well established, the involvement of mitogen-activated protein kinases MEK5-ERK5 remains poorly explored. Here we investigated the function of ERK5 signaling in melanoma. We show that ERK5 is consistently expressed in human melanoma tissues and is active in melanoma cells. Genetic silencing and pharmacological inhibition of ERK5 pathway drastically reduce the growth of melanoma cells and xenografts harboring wild-type (wt) or mutated BRAF (V600E). We also found that oncogenic BRAF positively regulates expression, phosphorylation, and nuclear localization of ERK5. Importantly, ERK5 kinase and transcriptional transactivator activities are enhanced by BRAF. Nevertheless, combined pharmacological inhibition of BRAFV600E and MEK5 is required to decrease nuclear ERK5, that is critical for the regulation of cell proliferation. Accordingly, combination of MEK5 or ERK5 inhibitors with BRAFV600E inhibitor vemurafenib is more effective than single treatments in reducing colony formation and growth of BRAFV600E melanoma cells and xenografts. Overall, these data support a key role of the ERK5 pathway for melanoma growth in vitro and in vivo and suggest that targeting ERK5, alone or in combination with BRAF-MEK1/2 inhibitors, might represent a novel approach for melanoma treatment.
恶性黑色素瘤是最具侵袭性的癌症之一,其发病率在全球范围内呈上升趋势。近年来,靶向治疗和免疫疗法改善了转移性黑色素瘤患者的生存状况;然而,现有的治疗方法仍不尽如人意。虽然 BRAF-MEK1/2-ERK1/2 通路在黑色素瘤中的作用已得到充分证实,但丝裂原活化蛋白激酶 MEK5-ERK5 的参与仍未得到充分探索。在这里,我们研究了 ERK5 信号通路在黑色素瘤中的作用。我们发现 ERK5 在人类黑色素瘤组织中持续表达,并在黑色素瘤细胞中具有活性。ERK5 通路的基因沉默和药理学抑制可显著降低携带野生型(wt)或突变 BRAF(V600E)的黑色素瘤细胞和异种移植物的生长。我们还发现致癌 BRAF 正向调节 ERK5 的表达、磷酸化和核定位。重要的是,BRAF 增强了 ERK5 激酶和转录激活剂的活性。然而,需要联合抑制 BRAFV600E 和 MEK5 以降低核 ERK5,这对于调节细胞增殖至关重要。因此,MEK5 或 ERK5 抑制剂与 BRAFV600E 抑制剂 vemurafenib 的联合治疗比单一治疗更能有效减少 BRAFV600E 黑色素瘤细胞和异种移植物的集落形成和生长。总的来说,这些数据支持 ERK5 通路在黑色素瘤体外和体内生长中的关键作用,并表明单独或与 BRAF-MEK1/2 抑制剂联合靶向 ERK5 可能代表一种新的黑色素瘤治疗方法。